Commonwealth of Pennsylvania
Bureau of Vital Statistics
Certificate of Death
Place of Death: Elderton Borough, Armstrong County
Full Name: MISS ROSE J. FORBES
Residence: Main Street, Elderton, Pa.
Personal and Statistical Particulars:
Sex: Female
Color: White
Date of Birth: July 19, 1860
Age: 78y 4m 18d
Marital Status: Single
Birthplace: Penna.
Occupation: Housewife
Name of Father: John Forbes
Birthplace of Father: Penna.
Maiden Name of Mother: Isabella Fleming
Birthplace of Mother: Penna.
Informant: Mrs. E. Roth, Pittsburgh, Pa.
Burial: Dec. 4, 1938, Elderton, Armstrong Co. Pa.
Medical Certificate of Death:
Date of Death: Dec. 2, 1938, 4:30 p.m.
Cause of Death: Coronary Thrombosis; Bronchial Pneumonia
Due to: Arterio-Sclerosis; Hypertension
Signature: C.B. Slease, M.D., Elderton, Pa.
Bureau of Vital Statistics
Certificate of Death
Place of Death: Elderton Borough, Armstrong County
Full Name: MISS ROSE J. FORBES
Residence: Main Street, Elderton, Pa.
Personal and Statistical Particulars:
Sex: Female
Color: White
Date of Birth: July 19, 1860
Age: 78y 4m 18d
Marital Status: Single
Birthplace: Penna.
Occupation: Housewife
Name of Father: John Forbes
Birthplace of Father: Penna.
Maiden Name of Mother: Isabella Fleming
Birthplace of Mother: Penna.
Informant: Mrs. E. Roth, Pittsburgh, Pa.
Burial: Dec. 4, 1938, Elderton, Armstrong Co. Pa.
Medical Certificate of Death:
Date of Death: Dec. 2, 1938, 4:30 p.m.
Cause of Death: Coronary Thrombosis; Bronchial Pneumonia
Due to: Arterio-Sclerosis; Hypertension
Signature: C.B. Slease, M.D., Elderton, Pa.
Commonwealth of Pennsylvania
Bureau of Vital Statistics
Certificate of Death
Place of Death: Elderton Borough, Armstrong County
Full Name: MISS ROSE J. FORBES
Residence: Main Street, Elderton, Pa.
Personal and Statistical Particulars:
Sex: Female
Color: White
Date of Birth: July 19, 1860
Age: 78y 4m 18d
Marital Status: Single
Birthplace: Penna.
Occupation: Housewife
Name of Father: John Forbes
Birthplace of Father: Penna.
Maiden Name of Mother: Isabella Fleming
Birthplace of Mother: Penna.
Informant: Mrs. E. Roth, Pittsburgh, Pa.
Burial: Dec. 4, 1938, Elderton, Armstrong Co. Pa.
Medical Certificate of Death:
Date of Death: Dec. 2, 1938, 4:30 p.m.
Cause of Death: Coronary Thrombosis; Bronchial Pneumonia
Due to: Arterio-Sclerosis; Hypertension
Signature: C.B. Slease, M.D., Elderton, Pa.
Bureau of Vital Statistics
Certificate of Death
Place of Death: Elderton Borough, Armstrong County
Full Name: MISS ROSE J. FORBES
Residence: Main Street, Elderton, Pa.
Personal and Statistical Particulars:
Sex: Female
Color: White
Date of Birth: July 19, 1860
Age: 78y 4m 18d
Marital Status: Single
Birthplace: Penna.
Occupation: Housewife
Name of Father: John Forbes
Birthplace of Father: Penna.
Maiden Name of Mother: Isabella Fleming
Birthplace of Mother: Penna.
Informant: Mrs. E. Roth, Pittsburgh, Pa.
Burial: Dec. 4, 1938, Elderton, Armstrong Co. Pa.
Medical Certificate of Death:
Date of Death: Dec. 2, 1938, 4:30 p.m.
Cause of Death: Coronary Thrombosis; Bronchial Pneumonia
Due to: Arterio-Sclerosis; Hypertension
Signature: C.B. Slease, M.D., Elderton, Pa.
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